Individual
MR. KEVIN PATRICK MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1893 E MOUNTAIN ST, PASADENA, CA 91104-4013
(626) 710-6354
Mailing address
1893 E MOUNTAIN ST, PASADENA, CA 91104-4013
(626) 710-6354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25894
CA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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